4460 Lakeshore Ter? t ., 11\1J.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
s r-, t t • i ? t? ?r't' 11 F t Ak't 'aN'f?R F?4 .
PERMIT SUBTYPE:
TYPE OF WORK:
+•? ? w .
? I ; ; I , ! ,,?: ? /.f [iF lottplf k
INSPECTION .A . .A
.? i ?; ?., c ? t•? ?
I : r1k1? ? : $&W fON i PAi"Ff?N:
WFN? t ! MF f'HFiN tt:R1.
ON RECORD
PERMIT TYPE:
Permit Number.
Date Issued:
I r 'i "J
APPLICANT:
r? t c?o.'? ?
( 1> 1 .' ) 89 q •tttH!
Permft No. Pertnit Hvldar Date Telephone #
ELEGTRIC
PLUMBING S
HVAC 9 9 M5-696,7
Inspection kDki Inap. Comments
FoonNGs
FOUND / .I
0
FRAMINQ
ROOFING
4
;
ROUGH
PLUMBINQ 1-9
? n
1 f
PLBG
AIR TEST
/?o? 7 ???j
L6?f
AOUGH
HEATING
y-
GA5 SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST 2
FINAL PLBG ? ?•
FINALHTG
/
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
U41
r CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
+: ! r? k t- ?2 H f1 R t`
i k E i Aa-L r.iiorIf ,. .
PERMIT SUBTYPE:
TYPE OF WORK:
10 ; ,. ? ,. i f ':,,
? r 1??
, ar aiINt t
INSPECTION .. . „
. ;t ? . . , . r IJ nI
ON RECORD
PERMIT TYPE:
. Permit Number:
Date Issued:
-- i? s n7 .? 1 nIF.I .
E H APPLICANT:
? f ? M:' ! tt '•a? ? SI H?! %
I ;--iAftKfti= 'i&tJ r CIN1kni;tnR ._ wFNtl. I
Permit No. Pertnlt Holder Date Telaphone #
ELECTRIC
PLUMBING
HVAC 9a q7 ?-???7
Inspection e Insp. Comments
FOOTINGS ? r?rtn
FOUND , fl
W
FRAMING
ROOFING
RQUGH
PLUMBING
? ?N S
i
PLBG
Aifl TE5T
- ?
ROUGH
HEATING
GAS SVC
TEST O
INSUL
GYPBOARD
Yt?7
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG fO 4 ? ?,
FINAL HTG
ORSAT
TEST
BLDG FINAL
! 7
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FlNAL ,
rt6l
?,.. .? 1
WRL`tiftCQtC df CCC"QnC?
644 of Cfagatt
zepartaett# of Zai[bing 3nijoection
This Certifcate issued pursuant to the requirements of the Unifarm Building Code
certifj+irrg that at 1he time of issuance this structure was in compliance with the various
ordinances of tlie City regulating baildeng co?utruction or use. For the following:
ux n,sssca;m: 1/ 2 OF DUPLEX B,ag. Pe,,,,;t No. 30319
Oc-p-cY Type R-3 U-1 Zming ast;a pD T,pe con:t. Vn
O
fB
iidi HOFFMAN HOMES INC A?,
, 2214 E 117TH ST., BURNSVILLE, MN
wnero
ng
u
e
ildiq
Addrew 4460 LA ,
KESHORE TERLocal?ry L18, B3, ::L1FF LAKE SHORES
g
u
? Date:
B uiidiob Official
; POST IN A GONSPiCUOUS PLACE
+ .. w +%
(trttfICQfC 0f cCClipQIiC?
wi" of Cfagan
?epartrneut of Zaiibing anj?p¢ction
This Certificate isse+ed pursuant ro the requirernents of 1he Unifarm Building Code
cenifying that at the time ojissuartce this stracrure was ert compliance with the various
orrlinances of the City regulating 6uilding construcJron or use. For the fo!(owing:
ux-fc„i--: 1/2 of Duplex BIdg P???t No30318
o-p„-y Type R-3 U-1 Zon;,g D;sbia PD Type Const. _
Qwnerof8uildins HOFFMAN HOMES 1NC Addn!u 2214 E 117TH
. . , .. . ............... --- ,,..
Vn
BURNSVILLE, MN
LDcaiiry _ .._ . , ...,, .,.._. _ ........ ,.
aaw:
POST IN A CUNSPICUOUS PLACE
sU OFFlCE USE ONLY This request void 18 monlhs 6om wlidation date prinied in Ihis box
II fl IIjIjjI111111111111111111111111111111 u8'63,C?c?
* 0 4 0 5 3 4 7 6 * PLEASE PRINT OR TYPE
Nequeu Dore Roughrn inspeceon reqmred2 ? Yes Inspecnon Olher Thon Roughln. ? Reody Now D Will Call
tYou masi call Iho inspenor when reodyl Dole Reody
I, icensed contracror ? owner hereby requesl inspection of the abave elechical work at
Job Address Sheet, Box, ar le No ' Ciry Zip Code
y? ?6o ? 55 ?aa
Sechon No. Township Name or No Pwnge Na fire No Cauny
Occupam ` ? _- Phcne No.
Power Im _ Address
'r
?
Elechm I Conhaciw (Cwnpany Nama) Contradar li No Masier tk No iPlan! Elect Only)
C `?$
Modm n ress
carno r Owner Pedormmg I miiar ?
r
b
?
Amhonzed Signanire (Connaciw or Owner Perfwmirg InsMlhM1On) Phone N.
E600007R118/96
4 5-347
\
REQUEST FOR ELECTRICAL INSPECTION
61 Minnesota State Board of Electricity
1821 University Ave., Rm. S-128, St. Paul, MN 55104
Phone (612) 642-0800
ome Duplex A t. Bldg. Ofher: New Addn
Commercial Industriol Farm Remod Re air
Air Cond. Htg. Equip. Water Ht Load M mt. Other:
Dryer Range Elec. Heaf Tem Service
°X" above the work covered by this requesf. Enhol' remorks in fhis spoce ond on fhe back of fhe white copy only.
Colcu(ate Mspec/ion Fce - This Inspection Request will not be occepled without the wrrect Fee:
Other Fee # Service Entrance Size Fee ri Circuits/Feedere Fee
Mobile Home Park Slall 0 l0 200 Amps 0 to 700 Amps
Streel Lig./TmHic Sig Above 200_Am s o 0_Amps
Transformer/Generator INSPECTOP'S USE ONLY
$ign/Outline ltg. Xfmr. c
b?
? .
?
Alarm/Remote Conhol a
Swimming Pool
I hereceni ihat I impecbWd? elernical tnnollmion descnbad herein on the daies srokd
Irrigotion Boom kougMln Dale
Speciallnspecfion
Investigative Fee Final Dale G
C
THIS INSTALLATION MAY BE ORDE O ISCONNECTE NOT COMPLETED WRHIN 18 MO T S.
2006 RESIDENTIAL BUII.+DING PERNIIT APPLICATION
City Of Eagaa
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAY # 651-675-5694 '
Naw Construt0an ReouiranenL4
J registered srte surveys sharing sq. R of lat sq. R of house; and all roofetl areas
(20%maamum lot croverage alloxreG)
2 mpm of plan showmg 6eam & windaw srzes; poured found dwgn, etc
1 set M Enugy Calrulahons
3 mpies of Tree Preservahon Plan if lot platted after 71193
Rim Jast Oetaii Ophans sdec4an sheet (hwldings wM 3 or less unRS)
Minnegasco mechanicai ventilation form
RemadeVReomr Reauiremm6
2 croptes af plan shawmg faafings, heams, laisGs
1 set M Energy Calalations for hmted adtliGans
1 site wrvey tar adtlitions & Gecks
Addition - mNCate if on-srte sep6c sysfem
?L1 5d- a-
?3-y9as
9t5ce Use Onlv
Cert of Survey Re:O Y N
Tree Pres ?lan Recd Y N
Tree PraS k94uired _ Y_ N
On•sAe Sepfic Systwn _ Y_ N
Date /0 / 0 ! / 00 Coestruction Cost ? l7 DO
SiteAddress 44W t ?Jy/O? Egw
UoitlSte # UA/ln ?
Descnption of Work
ZL%M
Multi-Famdy Bldg _j Y J_ iY Fireplace(s) _ 0 _ 1 _ 2
u
ProQerty Owner ! hmu " elephone #
ContracYOr (,JUIX_.LJV? •
Address Jrz'-J
? State ? ?ll UJ Qi Vl?- Zip SS.S ?J Tetephane A /-?A
CaMPLETE TH9S A32EA DNLY 3F
Energy Code Category r MinnesotaRules 7670 Cateeorv 1
• ResideMial Verrtila6on Category I Worksheet
suhrrxssion lype) Submiited
• Enefgy Ernelapa Calculatlais Su6rtdCetl
A NE3M SL3lLDFNG
Minnesota Rules 7672
• New Energy Code Worleheet
sUeMtnerl
In the Iast 12 manths, has the City of Eagan issued a permit for a simiiar plan based on a master plan8
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechqnical ConTractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in th case of work which requires a review and
approvat of plans. ,
?,V ? -? V0?'1?S Q,?r
Applican 's Printed Name Applicant' Signpture
• ? LOT SURVEY CHECKLIST FOR RESIOENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: ?
DATE OF SU : ?
LATEST REVISION:
DOCUMENT STANDARDS
s7 ? • Registered Land Surveyor signature and company
? • Build(ng PermdApplicant
y 0 • Legal descriptian
0 • Address
? 0 • North aROw and scale
? • House type (ramWer, walkout, split w/o, spiit entry, lookout, etc.)
0 ? • Directional drainage arrows wilh slope/gradient %
13 • Proposed/ebsllng sewer and water services 8 irnert elevation
? ? • Street name
*?'13 ? • Driveway
ELEVATIONS
Existina
?O o • Sewer rvice (or Proposed)
W'?13 ? • Praperty comers
ea • Top of curb at fhe drivewey
0 • Elevatlons of any ebsdng adjaceM homes
Prooosed
/
0` ? ?
Z'c ? • Garage floor
• First floor
7?--C ? • Lowest exposed elevation (walkouKovindow)
ff- ? ? • Properly corners
13-"o ? • Front and rear of home at the foundatlon
PONDING AREA Qf aoolicable)
13 0' 13 • Easement line
a [y ? • NWL
? 1--Y' ? • HWL
? Cr" ? • Pond # designation
? ?? • Emergency Overflow Elevation
DIMENSIONS
M' ? ? • Lot 1(nes/Bearings & dimensions
??o ? • Right-of-way and street width (to back of curb)
o' ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
?
C?f ? ?
• porches, etc. (i.e. all structures requiring permanent footings)
Show all easements of record and any City utilides within those easemenb
?a } • Setbacks of proposed structure a? sideyard setback of adjacent e?dsting structures
? Q? ? • Retaining wall requirements,Jtany v
Reviewed: /
/
January 7988
CqAq1996MLOGPRMT.FM
. _.
CITYbF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
° PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
BUILDSNG
030319
06/30j97
SITE ADDRESS:
4460 lAKESHORE TER
L07: 18 SLOCK: 3
CIIFF LAKE SHORES
P.I.N.: 10-17785-180-03
DESCRIPTION:
1/2 OF DUPLEX
:14,d`i Ye r m i t T y p e S F DW G
Type NEW
R-3 U-1
VN
? oJ!.? n 9 P D
38
66
102 1-- FAM. A77ACH
,i?'-?q
'g'?`kF
?r
REMARKS:
S&W CONTRAC70R - WENZEL
FEE SUMMARY:
VALUATION
Base Fee
Plen Review
Surcharge
SAC
SAC ?
SAC Units
Su6total
$1,067.25
$593.71
$68.0@
$950.00
100
1
$2.778.96
$136,000
MISC FEE5 $1,599.50
Total Fee $4,318,46
CONTRACTOR: - Applicant - ST. Lzc. OWNER:
Hf]FFMAN NOMEB INC 18949807 0009284 HOFFMAN HOMES INC
2214 E 117TH ST 2214 E 1177H ST
BURNSVILLE MN 55337 BURNSVILLE . MN 55337
(612) 894-9807 (612)894-9807
I- x hereby ackntsw?.?dt"t'` ?? h?a??
? - ° "info.rma.ti-vnis Yr1?
? SGBt`11_'?0S' Q[7,C!'a G?,'??f' ?i,'? i?fCEdi1`-0 s
?:;t,.. . ?.
? _._
A PLICANT/PERMITEE IGNATURE ?
• ? ? ?, I
e t ?;:?k
0Fn4 s`tolt e `Gh`4 t'.,,thl
C
• . 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
30 3? 5 cirv oF Ee?GaN
5830 PILOT KNOB RD - 55122
681-4675
New Constructian Reauirements
Name: Np?Pa?aJ k-l??nrs`?S.?c. Phone#:
Street Address:
;i;Q i,p 5?c
CA-tca
41z?
? 8 registered si[e aurveys ? 2 coPin M Plan
? 2 copies oi plens (indutle beam 8 window sfxes; pourad fnd. tlesign; etc.) ? 2 atte surveys (exterior additions 8 decks)
? 1 energy calculatans ? t ene
? 9 copies of tree preservadon plan ff lot platted after 7/7/93 ?9Y ?Iwlattons for heated adddrona
required: _ Yes j-_ No DATE: Le ( I -t L,=, fi CONSTRUCTION COST:
DESCRIPTION OF WORK ;A-u -Tc?--as 11011E
STREETADDRESS: t-+4V.&SFb2o TbRk.ACG
LOT 19, BLOCK 3 SuBD./P.i.D.#: LAI2` SHp¢&S - (°` k -in5-l$O-03
?uPct;iC °'?Ler•/7
PROPERTY
OWNER
CONTRACTOR
City:
F3v2usj, u.(,
HgmodeVRenair Reauirements
State: !^^? ? _ Z;p; SS 3 3 1-
Company: sa?-?r Phone #:
Street Address: License #:
City: State: Zip:
aRCHrrecrr Company: M'.JJe-totJ? Phone#: `13`A -j-q`EO
ENGINEER
Name: Lti ? ??q'J Registration #:
Street Address: 'sc) U.)' ? -2to
Ciry: C-A?? ti As56tiJ State: Mri Zip:
Sewer 8 water licensed plumber (new wnshvction onty): W??= LVVr' 4.kk-k'"' . Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortAetior» mrect?I d agree to comply with all appiicabie
State of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant:
OFFICE USE ONLY RECEIVED
Certificates of 5urvey Received ? Yes _ No J U N 2 0 1997
Tree Preservatlon Plan Received _ Yes = No ? Not Required BY?
OFFICE USE ONLY
BUILDING PERMIT TYPE
,
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
,0? 02 SF Dweiling n 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 5F Porch o 09 12-plex ? 14 Fireplace n 21 Miscelianeous
0 05 5F Misc. ? 10 = plex a 15 Deck
WORK TYPE
.1'31 New o 33 Alterations ? 36 Mo e !.?' -`'
0 32 Addition o 34 Repair o 37 Demo "
GENERAL INFORMATION
Const. (Actual)
(Aliowabie)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? Basement sq. ft. l 6 MCNVS System ?
,J?= Main level sq. ft. 63s` City Water o?
•?21/r!./ sq. ft. Fire Sprinklered
P•3 sq. ft. PRV
?.? sq. ft. Booster Pump
3fs sq. ft. Census Code. o z
& ? Footprint sq, ft. SAC Code ?L
Census Bldg i
Census Unit
, Build ing ? Engineering Variance Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Aect. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
?
Valuation: S /-M/ cloo
L
? ? LO
U' .
% SAC
SAC Units
CT7Y UF EAGAN
(:ASH.I.f_'F:. S 1'I'?RM7:NA•.... NOa 64
DA'E:;; 06/30/97 1IMI.=:,^, 15:20-53
Ii1 ".
14 Fat7EI-ICJI=I=MAN I•iQi'1F5 INC
2206 9001 4462 !_P,F:ESI"IIJI;:E 4731S.46
223E 9001 4460 LF11:F:SHQf±E: 4731S.46
A
1
rol::al keieir,i: Ammai;g 8yr,'?6.32
:}'i0?6r 33
;;1-R SU: NpNrY
I :.,. •
: CITY'OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT ?
PERMIT TYPE:
Permit Number:
Date Issued: ?
auaLoxNG
036318
06f30/97
'SITE ADDRESS:
P.I.N.: 10-17785-170-03
4462 LAKE5HQRE TER
LO7: 17 BLOCK: 3
GLIFF LAKE SHORES
DESCRIPTION:
1 2 OF DlJPLEX
ermit Type 5F DWG
:??tP Type NEW
?q° UBG tl6c?pgaf't 0?y? R-3 U-1
?,? a7°a ffi=t?^.tre. tlirn : af. %
jke V N
e
- Z0 1nS PD
Bu3ltl,itig, :leiigth 38
, 66
102 1 - FAM. ATTACH
M„ ?
"'M
a, „+a .`?
0b ?'? ???` ?
E ?
N iva
REMARKS:
S&W CONTRACTOR - WEN2EL MECWANICAL
FEE SUMMARY:
VALUATION
Base Fee
Plan Revisw
Surcharge
sac
sac %
5AC Units
Subtotal
$1,067.25
$693.71
$68.0@
$956.00
iee
1
$2,778.96
$136,000
MISC FEES $1,539.59
7otal Fee $4,318.46
CONTRACTOR: `'- Applicant - ST. LZC. OWNER:
HOFFMAN HOMES INC 18949807 0009284 HOFFMAN HOMES INC
2'214 E 117TH 8T 2214 E 1177H ST
BURNSVILLE MN 55337. BURNSVILLE MN 55337
(612) 894-9807 (612)694-9807
I Mer.leby ?cl??raw
info'r"mation?;is
?5tatut8& atirGF_€t
i?edgi ?!hathayd reEat????h?.? appisce?ia,m and rtatV thi#???tF?e
b-ohe4c t? a??ld ?ee`?rs
L"y t6'f` ?i?AJ441 -?IP41.fPJr?#F#r?'f$.i„"
'i ?
?
E SI ATUR ? ISSUED ' IG ATURE
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?
CITY OF EAGAN
3 3830 PILOT KNOB RD - 55122
681-4675
New Conshuction ReeuiremeMs
RemodeVReoair Reouiremenffi
?
? 3 registered site surveys ? 2 apiea of plan
? 2 coplea of plans (IncluGe beam 8 wlndow aizes; poured fnd. deaign; eta) • 2 site surveys (euterior addkbna & tletlcs)
• 1 energy celculations • 1 energy oalwlations for heated adOitions
• 3 wpks of tree prexrvation plan if lot plattetl after 7l1/93
requhad: _ Yes _ No DATE: t+I nt?y3' CONSTRUCTION COST:
DESCRIPTION OF WORK: -ReZ5:k 06???k%' ?Ov''Jj ProMC-
STREETADDRESS: ??bti
LOT ? BLOCK 3 SUBD./P.I.D.#: ?? y??5
AaPCSX
?
PROPERTY Name: Noffhp,.1 Phone#: 24-'1901
OWNER
Street Address: CXT Lk* ?
Ciry: auQ.NSQ'? ? State: ?"'/-) Zip: r2533 }
CONTRACTOR Company: S4 W?.e Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECT! Company: 0"+(.,J Phone#:
ENGINEER :
Name: •°Registration #:
y?
(JQ •v" ?O ?1`r.,Lw?'N "7 .ty?`?. ,
Street Address:
IN;
City: n,./ tV--AlState` 77 4 ,Zip:
Sewer & water licensed plumber (new construcKion onty): I`tG°14?9_r,-1?enally appliis when address change
and lot change are requested once permR is issued.
I hereby acknowledge that 1 have read this appliptlon and state that the info cccYYY??? d agree to comply with all applicable
5tate of Minnesota Statutes and Ciiy of Eagan Ordinances.
Signature of Applicant:
Prt-6•5; 06
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
?? . .
Yes No?!-^.- 5? •
_ Yes _ No Not Required
?Vre
RECEIVED
JUN' t 91 1997
BY: - --
OFFICE USE ONLY
' a e
I
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex n 11 Apt./Lodging o
,0 02 SF Dwelling ? 07 4-plex ? 12 Muiti Repair/Rem. ?
0 03 SF Addition o 08 8-plex n 13 Garage/Accessory o
0 04 SF Porch o 09 12-piex o 14 Fireplace n
0 05 SF Misc. 0 10 _-plex o 15 Dec?l ------'
WORK TYPE
0d--31 New
a 32 Addition
16 Basement Finish
17 Swim Pooi
20 Public Facility
21 Miscellaneous
?
0 33 Alterations n 36._Move
0 34 Repair ? 37 Demolition -- -- --? ?GENERAL INFORMATION
Const. (Actual) :ELL Basement sq. ft.
(Allowable) --E??'Al Main level sq. ft.
UBC Occupancy sq. ft.
Zoning ?•D sq. ft.
# of Stories sq. ft.
Length ? sq. ft.
Depth G!c Footprirvt sq. ft.
/_\»:?•P/a14-?
Planning
Buiiding
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
I6 MGWS System
/f 6 sr City Water ?
Fire Sprinklered
PRV
Booster Pump
Census Code. o z-
SAC Code o ?
Census Bidg /
Census Unit ?
Engineering
Variance
Valuation: $ Z34 oso
96 SAC
SAC Units
1 u;13
nnrr : 9 -13-95
SI1'E AODRESS:
CON7RACTOR:
PAGE 07
PHONE:
Pr.M #
Determine workin9 square footage of each
1. Total exposed wa11 area...,. Jx)j, l
s9• ft, x .11 = 2.01? -OZ
2. 7ota1 roof/ceiling area......... 1(0Z[p
sq, ft. x .026 = 4'L,7?
Total exposed wall area above floor=`C ?,'?
a."
' Total wall window area
b.
Total .,........
door area.
???????"""'"""••?•••••?••••
?ZI?3
C. Total .
sliding glass door are
.......... ..................... ??,??
d. 7ata1 a..
firep7ace wall
.................................. It1
e.
Total area..
wall framin area
9 (avera e 10% ..""."'
9 ) ?
f- Total rim Joist area
• ......... ......•••........
9• net ... .
................... "..............
wall area a6ove floor
h. ..
........................... .......
wall area a6ove floor 1? 3R?
G'1
?• ..
watl area above floor
. . .. " " " " " " " ••• ?
J. frame .
wall area at foundatio
n ...................................
Totdl exposed foundation area=
k. Total foundaCion window area.,_,,,_
1. Total net foundation area ahove grade .............
Oetermine "u" value
(e.g. window, door,
a . 12`i , 3 X
b.-3? x
c. x
d
of eaCh wa11 segment
ezch separate wa11 section)
e. x glut[
f.
x „u„
--x ?---_
9- X '1'? iC:A
-----?
3
h
i,
.i .
6129344305 - ."`.. .
hAI1JhJETONI<A DESIGI?I
?RTERIOR EFVELOPE_AVERAGL ,'.U" COMPI17ATION
X .lUll
g
x
x ??un
k, x
?
X????,
............................. ...TotaI
--- --- - •---- --t--- - --? -
If item #3 is the sa
as, or less than ite
u a m
SntentofS8C6006h(
995 10:13
6129344305 hIINNETt7Nl<A DESIGIJ
PAGE pg
roTA1. IxpOStc Ao0P/CItLtxa Mrut.arrais:
TotslGxpoSid
roof/eslllnq sre,p....
..
)) Tota) fky}Ight aroa....... '
f
3
C x
-
q
k) Tot4i roof/eolllnq Pr+wing
area (Averaae IAy).... , ` "
• Sq tt x
-iv„
,rJZ_4 •
3 c1
. M
1) TotsT nat lnsulseed • '
• roof/cellinq area....... sQ ft x "U"
,
?
4. _' ,
-----
If 707AL J ) thru 1)
total oF s+? is the same as, or lnss than /2,
•
Z :ICAR 1.16008 it xrd 0. yau have
met the intent of
' , _ . .
, ; ' '
• • • .
, ACTERNAI'E BUILOINB ENVELQPE pESfCN ' .
7o
of atillzn ths total envniope sys tpm mthod.•Che values
ltems 13 and 14 shafF ettab]•ished by thQ sum
not ba grQater than tha aurs'of ftwx 11 and Ax,
T.
2.
- .
.
.
. • • ?: ---- -,,,
. *
?
n
935 10;13
6129344305
I'IIIJNETONKA PESIUN
* LINEAL pE FACE o9
?' EXPpSEA WAGL
BLDCK: l(pr-?,Jr'?
WALKOUT: 3`r3
EULL 1: ,C0,IS
FUGL 2;
FIREPLACE;
RIM: `(D?j Ir,
?
BLOCK; SQUARE FEET LXPOSED WALL Aggp
?.?t•?
KNEE: x . S
WALKOUTs x 5 a
FULL ], ; CX 8° 3U?
FULL 2: X 8° I?37'z
FIREP[,ACE: X 8 '
RTM: 1 (D'l,Ic, x a
..vanlI?? , ??
w ?, re
SQUARE FEET ERPOSED CEIj,=NG 1(?`?llti1 WINDOWS; }2-77,3?
2&i(-v 44t' Il S? nooas:
2co3(,p I 5`4
pATIO DOORS:
2`l ZZ.
SASEME;iT UNITS:
74 SIb?LI<aNt Ir-?-
"? SKy[,IGHTS:
IZ7,3
r
m
c
KNEE:
10:13 6129344305
??'f. ?ax?r,K,?'?yri • _ .
'Sj
h1INNETDNKA DESIGN
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7.
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ra. YQ
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PAGE 10
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?1995 10:13 6129344305 MINFJETONI<A DESIGN FAGE 11
ROOF-CEILING
i
CONSTRUCTION ' R-VAI.EIE
- --.( -? 1,.-f n 1 1• INTERIQR AIR Frr.M f? 64
2. 518" GYP. BD_ SS
? 3• IKS(JLATIOY 44 nn
? 4. EX
VENT ' 'LUrAL 45.80
? - U - .02
FRAME
VFNI'ID A HEqT FLqW 1. INTERIOR AIR FILM 0161
u UP z. . 58
3. i LATION
4. EXTERIa1F- R F I L M 0.61
PTG. N5 lVrAl, 40.1.5
U = 0.024
?HFA? FI.OW UP
HFAT FLOW
UP
CO[SSTRUCTION
1,
2.
3.
4,
5.
INS1ll-7 ATR FILM
OUTSIDE AIR rIf.,M
U =
FRAME
INSIDE AIR FILM • 0.61
FIG. #6
1.
2.
3.
u.
s.
i.
z.
3.
4.
5.
QUTSIOE gTR FT!_M T=_0 i?
U =
INSTDE AIR FILM 0,81_
TLM TOTAL 0.17
U =
NOTE: USE ADDS'I'IONAL SFEEfS IF MJRE 5PACE IS
NEEDED FOR DETAILS AND GqLLZSLA2'IONS.
FIG. 97
CITY USE ONLY
L ld o BL RECEIPT#:
SUBD. C?u*.c2? _ RECEIPT DATE:
ln7 '?
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please' camplete for: . singie family dweilings
. townhomes and condos when permits are required for each unft
? backflaw preventer for underground sprinkler system
FIXTURES MICH ? TOTAL
Shower 3.00 x 3 = 9,00
Water Closet 3.00 x 3 = 9,av
Bath Tub 3.00 x _L = 3,CV
Lavatory ' 3.00 x _4 = 12•a?
Kitchen Sink 3.00 x 1 = 3•a?
Laundry Tray 3.00 x 3 -ev
Hot TublSpa 3.00 x =
Water Heater 3.00 x ? = 3Ab
Floor Drain 3.00 x 3•o0
Gas Piping OuHet ' minimum - 1 • 3.00 x = 2 DD
Rough Openings 1.50 x =
Water Softener " for dwellings under consWClion ' 5.00 x I = ?
Water Softener " for existing dwelling 20.00 x =
U.G.Sprinkler 'fordwellingunderconst. 3.00 =
U.G. Sprinkler ' for ezisting dwelling 20.00 =
Alterations ' to existing resldence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' oak Cry iic. 75.00 =
(new and reNrbished eystems)
Private Disposal Systems • nnanaonmenc 20.00 =
STATE SURCHARGE .50
70TAL L2•so
1 hereby acknowledge Met I heve read Mis applMation, sts[e Mat the infametion b cortect, and egree to comply with all applfcable City
ot Eagan ordinances. It is the applicanPs responsibility to noGty iha property owner thet the City of Eegan aasumes no Ifablllty for any
demeges caused by ihe City during ks nortnal operational and maintenance activilles to the faalllies oonstructed under this permi[ wilhin
City property/right-of-weyleasemeM.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
TELEPHONE#: _ 45Z-I6;-65-
STREET ADDRESS:
CITY: ?AN
STATE: ZIP: 5?VZ Z
SIGNATURE OF PERMITfEE
V µ CITY USE ONLY
L./*7 BL 3 RECEIPT#:
SUBD. 0.?.. RECEIPT DATE: ?/`?` P-1
07
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please complete for: . single family dwellings
. townhomes and condos when permits are required for each unit
• backflow preventer for underground sprinkler system
FIXTURES EACN NQ, TOTAL
Shower 3.00 x 3 = T. o0
Water Closet 3.00 x 3 = 9, 00
Bath Tub 3.00 x 1 = 3.aa
Lavatory 3.00 x l2.oa
Kitchen Sink 3.00 x
d
3.0
Laundry Tray 3.00 x 3.bo
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x f = 3.aD
FloorDrain 3.00 x = 3,bo
Gas Piping Outlet • minimum • 1 . 3.00 x
0
12,0
Rough Openings 1.50 x J_ _ l,50
Water Softener • for dwauirres under conswwon 5.00 x 1_ = 5. ba
Water Softener " for exisdng dwelling 20.00 X =
U.G.Sprinkler 'fordwellingunderconst. 3.00 =
U.G. Sprinkler ' for existing dwellinp 20.00 =
Akerations • a exlsHng resaence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ` oak cry nc. 75.00 =
(new and refurbished systems)
Private Disposal Systems • anandonment 20.00 =
STATE SURCHARGE .50
4
0b
TOTAL .
I heraby adcnowledge thet I heve read this application, atate that the iniortnetion is correct, end egree W cwnpy with all applicable City
of Eagan ordinenoea. It is the eppllcaM'n responqibility to notlfy lhe property owner that the City of Eagan assumes no liability fw any
dameges eaused by the Cily dudng its rwrtrial operetWnal and maiMenence aGN7liea to the faGliGes construaed under this pertnit wilhin
Ciry prapertyhigh4of-way/easement.
SITEADDRESS: ?`?2' OWNERNAME: ? OFFMLIN 07jZ?S
INSTALLERNAME: _WEAIZEC.. MEZ#fANICf}LTFL EPHONE#: l?'SZ /S?oS?
STREETADDRESS: /757
CITY: ?6?J ?V STATE: HN I P: SSI Z?
SIGNATURE OF PERMITTEE
CITY USE ONLY
LOT / 9 BL ?
SUBD. ?( O ?@ L01GG0
-tlu -?.
_ Add-on air exchanger, i.e. Vanee system, etc. _ Other
1997 MECHANICAL PERMTT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
Date: p/96-1% (612) 681-4675
Complete this section onlv if vou are installin¢ HVAC in sinEle family, townhome, or condos that are
under construction and are not owner /occupied.
• HVAC: 0-100 M B T U /Dal doo $ 24.00
ADI?ITICTIAL SQ M BTiJ 6.00
• Gas oudets ( minunum of one required @$3.00 ea.) Z ?
. State Surchazge: .50
• TOTAL:
Complete this section onlv if vou are remodeting, addine to, or reoairine existing single familv
dwellings, townhomes. or condos.
_ Add-on fumace _ Add on air conditioning
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50
srrE annxESS: '9 'y &/,o
RECEIPT #: ?01SI5
RECEIPT DATE: 91.,2_19 /7
?
zw
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CIT1':
PHONE k: n ?? - '?OU/
Y[I//? ? 1 ? STATE: _#/X?/ - ZIP:..'6j3w_
,
SIGNATURE OF PERMITTA'
CTfY USE ONLY
LOT I 7 BL d- RECEIPT #:
SUBD. ?a 62?? ..!Llrw/CA/y RECEIPT DATE: 7/d? 9 7
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
Date: (612) 681-4675
lI
Complete this section onlv if vou are instalGne HVAC in single family, townhome, or condos that are
under construction and are not owner /occuoied.
• HVAC: 0-100 M B T U ? d-O! 4LW--? $ 24.00
ADLlITI^NAL 50 M BTU 6.00
3e 4r-
• Gas outlets ( minimum of one required @$3.00 ea.)
• State Sutcharge: .50
• TOTAL: ? ,?. ?
Complete this section onlv if you are remodeling, adding to, or repairing esisting single familv
dwelGngs, townhomes, or condos.
_ Add-on fiunace _ Add on air conditioning
_ Add-on air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of eausting residences $ 20.00
State Surchazge .50
Total: $ 20.50
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME: 1q I? ?„ PHONE #:
Ad PHONE#: 'o'q- qgal
STREETADDRESS: 4,31 t4I !SO A Lz
- --
CI1'Y:
STATE: ZIP:
SIGNATURE OF PERMITTE
7?39? xoi6 70
j89'SRESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conslruction Reouirements Remodel/fteoair Reaulraments Office Use OnIJ
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan CeR of Survey Recd _Y _ N
(20% maximum lot coverage allowed) 1 set of Energy Calculatbns for healed addition.s Tree Pres Plan Recd _Y _ N,
2 copies of plan showing heam & window sizes; poured found deslgn, etc. 1 sfle survey for addiGons & decks Tree Pres Required _ Y_ N
lsetofEnergyCalculatans Addifion - indiceteff on-attesepGcsystem On-slteSapticSystem _ Y _N
3 copies of Tree Preservalion Plan if lot platted after 7/1193
Rim Joist DelaR Options selection sheet (buiWings wilh 3 or less unds)
Date -s-/ C8 / o(D
SiteAddress L'?.p ?1?cxe Construction Cost ? C)O0,o rio
\QCCyLe Unit/Ste #
Description oYRW kd Kp - [roU's ?? ?? S0?• 1 S??(?. ??•
Multi-Famity Bldg ? Y _ N Fireplace(s) ? 0 _ 1 _ 2
PropertyOwner S?orfs'?e ?? ?SLe??aN'ee1 - Telephooe#(qS-4)
Contractor ?MC&GL'\ QDA ?rSL?C,rS SnC
Address 0ico1?4? u2-
State M"nneSok-\ S
Zip SS3Y7 City )?vrrt5QAQ-
Telep4one#(15d)70 -c 1(? ?
COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheef
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Su6miried
Have you previously constructed a building in Eagan wifh a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pertnit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requixes a review and
approval of plans.
ApplicanYs Printed Name
Applicant's Signature
------------------
?
j Permit#: 1 [ ! j
? Permit Fee: ?
I
? Date Received: j
1 ?
I Staff: I
I -----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:??QP) SiteAddress: 44(00 ?;, 14?,[LQ- - "^k, Skm
Tenant
Suite k:
RESIDENT/OWNER NameCISQ W.?Z sYUJI? ?OU)I(LhQVVLQ.? Phone:
Address / Ciry / Zip:,J`U`CtI CLIFk LAIQL Cl, gjq!] n r'jj;)OL _.L4-115
Applicant is: _ Owner Contractor
TYPE OF WORK Description of work: ieLLV' Y'mUt" ? iu '` t
ConstructionCost:4' Multi-FamilyBuilding:(YesNo
CONTRACTOR Name:140MQYIL? fn QYLtEbdu,0 TV1G License#: t0?{?Jlb5
Address: 0rtq o 3u0Liu`c,Ll (1cf - -? LOo
City: bwf?Oslil( (_4- _ State: i_ Zip: ?-OD53
Phone:"t?a-_1Cn"'?U"l ContactPerson:?,)iafLo, SC-f/L ?[2XL..Y
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Venlllation Category 1 Worksheet • New Energy Code Worksheet
Category Su6mitted Su6mitted
(4 Su6mission type) • Energy Envelope Calculations Su6mitted
In the last 72 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractur: Phone:
Sewer & Water Contracior: Phone:
MOTtc PlBtrs aRd-suppoetrzz',tfvcWrn?eRfs af yai? sr5?mlS??e fn?'?'r,ratafian ?Y?t of _z
'
?
P?r?n?t
the infnrmaYCO"rt?ray be clas`s3€red"as no?7F?rbli9'? ?oW,?ir?oa?sd? ,?ans?#t at vl?quld?
??? =
I hereby acknowledge that this information is complele and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I undersland ihis is not a permit, 6ut only an application for a permit, and work is not to start without a permit; that the work will be in
accordance wilh the approved plan in [he case of work which requves a review and approval oi plans.
x UGl.u1Ll
ApplicanYs Printed Name
x ?? C_ "-"' -
ApplicanYs Signature
Page 1 of 3
.
..
.. /./
I /
?
CER TIFICA TE
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907.8
i
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t s?? 200
r ??-
O
Tap of /rons &Offsets
AO 10.00' Offset 908.36
OB 10.00, Offset 977.61
OC 70.00" Offset 903.44
OD 10.00' Offset 903.23
?
?
?
/
?
i
i
(911 48 1
/ x 911.52
/
?
(912.4)
900.8
911.8
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LEGAL DESCRIPAON:
Lots 17 & 18, Block 3, CUFF LAKE
SHORES, according to the plat
thereaf, Dakota County, Minnesoto
Top of Block = 913.18
Garoge Floor = 912.80
Lowest Floor = 905.03
GRAPHIC SCALE
za o 10 zo ao
( IN FEET )
1 inch = 20 ft.
O \ 930.0 Denotes Sonitory Sewer Service /nvert
/
/o
`°? 40, ' CD 0 1365.0 denotes existrng elev.
9U0.3 (865.0) denotes proposed elev.
? -? denates surface droinage
sio.s 8lr ? lA" Z- ?7 • Denotes iron monumenf found
B G INSP CTICi??? "P(, o Denotes iron monumenf set
Beorings based on ossumed datum.
?
,
910.8 \ ? E? bereby certify ihat this survey was prepared
/ '}?me or under my direct supervision and that
a duly Registered Land Surveyor under the
-o€-the State of Minnesota.
9015
GMartin J. Wetier, R.LS Date
Registration No. 12043
REQUESTED BY:
HOFFMAN HOMES /NC.
? I ? Westwood Professional Services, !nc
? L_V t t .? 14180 West Trunk Hwy. 5
Eden Prairie, MN 55344
(srz) 937-5150
Revised:
i
6/77/97 Ex. Ground Elev.
L_v i ?v
? Drawn by MS Dote: 6113?97 ?ob No. 95198
Lots 17-18, 8/ock 3
B3L 17- l8. DWG
?BSIWOOY "- H urT'?.aMYL59PK a??9 AiE
3::./i5 r......,.s,... ? y-.?•m-a - HOFFMaN HO?iFS? INC. t BAWTARY XATER YAW
SEWER a;?a?c6?
=LAS 7rN D?TE _? _ REG NC _.J9(1?.COMBTNUCTIOM PIAN
;c?a (etY n:?CfTt iROJ. M4. 95 - 00
. ? :'"
Use BLUE or BLACK Ink
r ~
- - - - - - - - - - - - - - - -
' I For Offce Use
s, Permit
City of Ea
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: Site Address:
Tenant: Suite
Name. . LA FLt
l~
Phone:
RESIDENT / OWNER ~J
Address / City / Zip: 5~vle T-P--
P'
Name: License C)&t C7 V
Address: ! O UI _ City: 1 LLB
CONTRACTOR t
State: >r✓ Zip: Phone: 9 40-- (o~ ` I
Contact: (k&f'AkiL I-t"4j Email;
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
DESCRIPTION Description of work:
FEES
$55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
II
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
X l~ I~1 rte/ 7
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
Use BLUE or BLACK Ink
r----------------_,
� For Office Use �
' � Permit#: �� �' ` � j
Clty of ����� , --�a,� ;
� Permit Fee:
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I �
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
iL l�ll S' ,/'/�p L G�t��i�.-�V e. ��'''� � C��p� M� S'si�v
Date: Site Address: �-t`I � ) Unit#:
�„�..� � Name:,�w /1 jl YY, ,,... N....��L...�.�.,,.��.oi/(.,,�a.�...,.���a�,...�..,.�.......�. Phone -- �.,..�.,W.,..,..�..�...�„�,.�
�./
� f�esjd�ntt � G �
��, �}���r�� � Address/City/Zip: �
Applicant is: Owner Contractor
.�.�� �,����� Description of work: W�/2� �
ai
� ` g Construction Cost: Multi-Family Building: (Yes /No� �
�ry� � Company: t�� hL�� �G�a 1� �hc. Contact: �`�f ��( �� �"'���.���
� J �- ,
Y � ,��
� Address: Jsab f/'c�1 b�,w� �� �J su�fr �.�i c�t / ��iu' 1-� �
Cantra.ctor � y' �
� State:�Zip: �Sy�t� Phone: '7(v3-5.��.�n�'� Email: ��� � �cN�J��in,c�w1 �'n��'���1. I',
� License# �G ��� �7�.3 Lead Certificate#:
a_��,����.�,�.�..�....�,.���.W�_�.,,_,.�.. �W..��� .��wn�.,����„�,.._�,,.,.��,.�.��.»,��,�wa.���,�..,.�,.����..,�,�.,,.�..��..�..w..,w��,,....�.�.�.�.��,�.,.�.����...x
If the project is exempt from lead certification, please explain why:
��� COMPLETE THIS�AREA ONLY IF CONSTRUCTING A NEW BUILDING �
$
� In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? �
Yes No If yes, date and address of master plan: �
�
r
Licensed Plumber: Phone:
�
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
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tt�e i��`or�ra#��r�r�a,�/�e classi�ed as rton p�r��ic�f y��p�o�e�eci�reasv�tha�wcr�c�perr��it�e;Gnfy tfl �
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CALL BEFORE YOU DIG. Call Gopher State One Call at(651 j 454-0002 for protection against underground utility damage. Call 48 hours �
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota S t Building Gode must be completed within 180
days of permit issuance.
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ApplicanYs Printed Name Appli s Sign ture
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